Posted on February 27, 2026
Please read the following update related to various Health New England programs and changes that may have an impact on your patients and/or your practice. To find policies noted below, please visit healthnewengland.org/Providers/Resources. If you have any questions about the information in this notice, please contact Health New England Provider Experience at (800) 842-4464, extension […]
Posted on February 27, 2026
Attention: Health New England (HNE) Network Providers serving Medicaid Members Each year, MassHealth requires all ACOs to submit paid claims for use in financial settlements and pricing of ACO capitation rates for the ensuing years. MassHealth has notified HNE of the deadline for capture and final submission of paid Rate Year 2025 (RY 2025) service […]
Posted on February 27, 2026
Attention Providers and Practice Managers: Accurate provider directories are critical to helping our members make educated decisions about their plan choices, selecting providers, and accessing care. Health New England (HNE) offers an online directory for all products, and hard copies of each directory are available upon request. Based on regulatory requirements, providers are obligated to […]
Posted on January 30, 2026
Health New England is committed to reviewing our internal procedures and defining coverage and billing guidelines with applicable laws and industry standards to ensure our policies are appropriate. To access payment policies, please visit healthnewengland.org/Providers/Resources. If you have any questions about the information in this notice, please contact Health New England Provider Experience at (800) 842-4464, […]
Posted on January 30, 2026
Please read the following update related to various Health New England programs and changes that may have an impact on your patients and/or your practice. To find policies noted below, please visit healthnewengland.org/Providers/Resources. If you have any questions about the information in this notice, please contact Health New England Provider Experience at (800) 842-4464, extension […]
Posted on January 6, 2026
Health New England is committed to reviewing our internal procedures and defining coverage and billing guidelines with applicable laws and industry standards to ensure our policies are appropriate. To access payment policies, please visit healthnewengland.org/Providers/Resources. If you have any questions about the information in this notice, please contact Health New England Provider Experience at (800) 842-4464, […]
Posted on December 4, 2025
Health New England will review retrospective authorization requests in limited circumstances, as described below. When the member has been added retrospectively to HNE after services have been provided or during a course of continuing treatment; or The member has been referred or received same day services; or The service was urgent or emergent in nature; […]
Posted on December 3, 2025
Reminders from December 2025: Health Equity GLP-1 Update Interpreter Services QMB
Posted on December 3, 2025
Please read the following update related to various Health New England programs and changes that may have an impact on your patients and/or your practice. If you have any questions about the information in this notice, please contact Health New England Provider Experience at (800) 842-4464, extension 5000. A representative is available Monday through Friday […]
Posted on December 3, 2025
Health New England is committed to reviewing our internal procedures and defining coverage and billing guidelines with applicable laws and industry standards to ensure our policies are appropriate. To access payment policies, please visit healthnewengland.org/Providers/Resources. The following policies were reviewed and updated: Updates Effective Date Notes Emergency Department 11/01/2025 All LOBs Updated policy Replaced language […]